Bolivar County Council on Aging, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

BOLIVAR COUNTY COUNCIL ON AGING, INC.

Practice address

800 S Davis Ave
Cleveland, MS 38732-3943

Phone

(662) 846-6161

NPI assigned

May 8, 2018

Last updated

May 8, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Ann Griffin

Title

Project Officer

Phone

(601) 981-5447

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1235628983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387320593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S DAVIS AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323943",
            "telephone_number": "662-846-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2458 Livingston Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392136920",
            "country_code": "US",
            "telephone_number": "601-981-5447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOLIVAR COUNTY COUNCIL ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROJECT OFFICER",
        "authorized_official_telephone_number": "601-981-5447"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Blackwood, MD
• Mark Edward Blackwood, MD
• Blake Surgical Association PLLC
• Roger Alan Blake, M.D.
• Bolivar County Caa
• Bolivar Emergency Group LLC
• Bolivar ENT, Inc
• Bolivar Pathology Services
• Bolivar Physician Practices LLC
• Bolivar Physician Practices LLC (Bolivar Orthopedics)

• Non-emergency Medical Transport (VAN) in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Non-emergency Medical Transport (VAN) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.